Billing

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Avoiding MSP claim rejects

Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP eligibility and avoiding MSP claim rejects.

Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

Please review the updated drug codes listing.

Medicare & Veteran Affairs: Adjustments for duplicate claims

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

Medicare coverage of driveline kits for ventricular assist devices (VADs)

Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.

Medicare & Veteran Affairs: Adjustments for duplicate claims

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

Read this article for information on billing PrEP for HIV drugs.

Public health emergency billing guidance for skilled nursing facilities (SNFs)

CMS allows programmatic waivers for impacted states under Section 1135 of the Social Security Act (SSA) for declared emergencies.

Immunization roster billing

Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Roster billers are able to bill…

Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers

The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.

Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers

The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by the appropriate answer and the sources of the information are provided.